American Surgical Supply Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

5413161 Issued in PA

Legal business name

AMERICAN SURGICAL SUPPLY INC.

Practice address

347 Pottsville-St. Clair Hwy
Suite 2
Pottsville, PA 17901

Phone

(570) 622-8713

Fax

(570) 622-8191

NPI assigned

Feb 2, 2007

Last updated

Mar 22, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer Lynn Evans

Title

President

Phone

(570) 622-8713

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332374400000",
    "number": "1649318429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 POTTSVILLE-ST CLAIR HWY",
            "address_2": "SUITE 2",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "17901",
            "telephone_number": "570-622-8713",
            "fax_number": "570-622-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 POTTSVILLE-ST. CLAIR HWY",
            "address_2": "SUITE 2",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "17901",
            "telephone_number": "570-622-8713",
            "fax_number": "570-622-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN SURGICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2012-03-22",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-622-8713"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "5413161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009426810001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Allen, R.N.
• Allied Health Care Services (Behavioral Health Services)
• Allied Healthcare Services (Allied Services Behavioral Health Division)
• David Lewis Ambrose Sr., AU.D.
• American Homepatient, Inc.
• Anderson Dental Associates PC (Pottsville Dental Center)
• Janet Anderson, DMD
• Anesthesia Assoc. of Schuylkill County
• Miranda Angelo
• Ashley N Anthony, OTR/L

• Durable Medical Equipment & Medical Supplies in Pottsville, PA
• Providers in Pottsville, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.